The long-term effect of complex regional pain syndrome type 1 on disability and quality of life after foot injury

PURPOSE: To study the long-term evolution of patients with lower-limb Complex Regional Pain Syndrome (CRPS), focusing on functional and proprioceptive aspects and quality of life. METHODS: In 20 patients suffering from chronic distal lower-limb CRPS diagnosed using Budapest criteria, we assessed joint position sense and strength of the knee muscles at the CRPS and unaffected leg, functional exercise capacity, pain, CRPS severity score, quality of life and kinesiophobia. Similar assessments were performed in 20 age-matched controls. RESULTS: The joint position performance (at 45°) was significantly lower for the CRPS leg as compared to controls. The knee extensor strength of the CRPS leg was significantly reduced as compared to the unaffected leg (−27%) and controls (−42%). CRPS patients showed significantly reduced performance at the 6 min-walk test as compared to their age group predicted value and controls. Patients suffering from CRPS for 3.8 years in average still exhibit high pain, severity and kinesiophobia scores. CONCLUSIONS: Long-term deficits in strength and proprioceptive impairments are observed at the knee joint of the CRPS leg. This persistent functional disability has significant repercussions on the quality of life. We highlight the importance of including strength and proprioceptive exercises in the therapeutic approaches for CPRS patients

KID syndrome: Report of a case with unusual features

Published in Pediatric Dermatology 1995 Vol: 12(1):69-69. DOI: 10.1111/j.1525-1470.1995.tb00134.x.info:eu-repo/semantics/publishe

KID syndrome: À propos d’un cas de présentation inhabituelle

info:eu-repo/semantics/nonPublishe

Allergie au sésame

Timo, âgé de 10 ans, a effectué, en compagnie de ses parents, un voyage en Israël. Un jour, une demi heure après un repas tout à fait varié, composé de légumes cuits, de viande et d'"homos", l'enfant a présente une urticaire généralisée, régressant rapidement sous corticoïdes et antihistaminiques. Le médecin qu'ils ont consulté à ce moment n'a pas fait de bilan allergologique, et pour les parents qui n'avaient aucune idée de l'étiologie de cet urticaire, l'incident était clos, vu la rapide disparition des symptômes. Quelques jours plus tard, dans un kibbouz, Timo mange la quantité d'une demi cuillère à café d'homos. A peine avalée, il fait une urticaire généralisée, un œdème de Quincke, un malaise, un choc anaphylactique nécessitant une hospitalisation d'urgence..

Congenital psoriasis following the lines of Blaschko.

Congenital psoriasis without an underlying nevus following the lines of Blaschko is described in a 6-year-old girl. In addition to this special type of psoriasis, she suffered from atopic dermatitis. The lesions were aggravated by sun exposure and phototherapy treatments, as well as by upper airways infections, without any clear explanation of these trigger factors. We propose to call this form of psoriasis congenital blaschkoid psoriasis